LEGAL Name:
(as it appears on passport )
Note:
All passengers must travel with a valid U.S. Passport. Non
U.S. citizens are responsible for determining in advance, valid
passport and visa documentation (if required) for departure and
re-entry into the United States. |
Phone Number: Cell:
Work:
Home:
Mail Address 1:
Mail Address 2:
City, State, Zip:
E-Mail Address:
Emergency Contact Name and Phone:
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Travel Information |
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Credit Card Information |
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Please be advised:
A credit card is
required to guarantee your requested Concerts At Sea cruise.
By submitting this form, you are authorizing your credit card to be charged
the deposit amount of $400.00 per person. If you do not submit a credit card number, a
cabin will not be confirmed for you.
Please call 388-3000 for additional information.
Credit Card: *
Expiration Date:
*
Name as it appears on card:
*
Will you
celebrate a special occasion while on this incentive program such as a
birthday or anniversary?
(Please fill
out text box below to advise)
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Are there any medical
conditions Harmon Travel should know about?
(Please fill
out text box below to advise)
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Do you have any specials needs, requests,
or comments?
Will you be deviating from the cruise travel dates? If so, please
indicate pre or post deviation dates?
Would you like
to Dine with anyone specific? Please advise the name of the party you would
like to dine with.
How would you like us to contact you?
Phone Call
E-Mail
Either,
No preference
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